NPI | 1538886452 |
---|---|
Doing Business As | INLAND FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CEMYIRA MCDOUGAL Credentialing Coordinator 217-764-8609 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-10-21 |
Last Update Date | 2022-10-21 |